William Luke Blackburn (NPI# 1467719880, PAC ID# 1557523461) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
Nation Provider ID (NPI) | 1467719880 |
PAC ID by PECOS | 1557523461 |
Professional Enrollment ID | I20150519002403 |
Full Name | William Luke Blackburn |
Organization Legal Name | MILLARD OAKS CHIROPRACTIC |
Address |
6909 S 157th St G-h Omaha NE 68136-3051 |
Phone Number | 4029050132 |
Gender | M |
Medical School | PALMER COLLEGE CHIROPRACTIC - DAVENPORT |
Graduation Year | 2011 |
Primary Specialty | CHIROPRACTIC |
Group Practice PAC ID | 2961722707 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
6909 S 157th St G-h, Omaha, NE 68136-3051 | 4029050132 | MILLARD OAKS CHIROPRACTIC |
Organization Legal Name | MILLARD OAKS CHIROPRACTIC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Chase Dean Lheureux | Chiropractic | Millard Oaks Chiropractic | 6909 S 157th St G-h, Omaha, NE 68136-3051 |
Street Address |
6909 S 157TH ST G-H |
City | OMAHA |
State | NE |
Zip | 68136-3051 |
Name | Specialty | Organization | Address |
---|---|---|---|
Chase Dean Lheureux | Chiropractic | Millard Oaks Chiropractic | 6909 S 157th St G-h, Omaha, NE 68136-3051 |
Name | Specialty | Organization | Address |
---|---|---|---|
Arnoldo A Moran | Chiropractic | 7007 S 181st St, Suite 107, Omaha, NE 68136-2013 | |
Hannah Grazda | Physical Therapy | Makovicka Harms Group PC | 6909 S 157th St E, Makovicka Physical Therapy, Omaha, NE 68136-3051 |
Julie Rachelle Walter | Optometry | 9973 S 168th Ave, Omaha, NE 68136-4232 | |
Ricky Bussey Jr. | Physical Therapy | 10156 S 168th Ave, Suite 3, Omaha, NE 68136-4240 |
City | OMAHA |
Zip Code | 68136 |
Specialty | CHIROPRACTIC |
City + Specialty | OMAHA + CHIROPRACTIC |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.